Dental
Bonner, Paul
Bonner, Paul was paid $3K by Medicaid between Jun 2021 and Jan 2022, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 39% of everything it billed.
33Billing provider infoBONNER, PAUL
WICHITA FALLS, TX 76308
WICHITA FALLS, TX 76308
33aNPI1407010457assigned 07/17/2008
33bProvider typeDentist
28Total paid$3K
24GClaims186
24DCodes billed6
24AFirst – last monthJun 2021 – Jan 2022
Compared with peers
Next to other Dentist providers in Texas
Rank by total paid#1,263 of 1,678
Median peer was paid$35K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 78 | $1K | |
| 2022 | 108 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 39% | 44 | 44 | $1K |
| D1206 | Topical application of fluoride varnish | 22% | 49 | 49 | $720.30 |
| D1120 | Dental cleaning, childProphylaxis - child | 18% | 16 | 16 | $588.00 |
| D0220 | Intraoral - periapical first radiographic image | 11% | 29 | 29 | $364.24 |
| D0230 | Intraoral - periapical each additional radiographic image | 9.6% | 27 | 27 | $310.77 |
| D0603 | 0% | 21 | 20 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.